American Journal of Psychiatry

Volume 140, Issue 4

April 1983

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April 1983

Opportunities for prevention in the practice of psychiatry

Pages:389–395
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.389

Preview Abstract

There are opportunities for prevention in the practice of general psychiatry that are often overlooked by the psychiatrist. The author discusses three groups that lend themselves to preventive efforts--the hospitalized mentally ill parent, children of ...

April 1983

CSF monoamine metabolites in mania

Pages:396–400
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.396

Preview Abstract

As part of the National Institute of Mental Health Clinical Research Branch Collaborative Program on the Psychobiology of Depression, the authors compared concentrations of CSF monoamine metabolites (the norepinephrine metabolite 3-methoxy-4-...

April 1983

Factors associated with a successful insanity plea

Pages:401–405
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.401

Preview Abstract

The authors present data on all insanity pleas (N = 202) in Erie County, New York, between 1970 and 1980. No demographic, criminal history, current offense, or history of mental hospitalization factor was associated with acquittal. Of the variables ...

April 1983

Transference interpretations in focal therapy

Pages:405–409
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.405

Preview Abstract

There are three contradictory positions regarding the usefulness of transference interpretations in focal therapy: they are 1) indispensable, 2) to be avoided, or 3) not important compared with nonspecific therapeutic factors. After a review of the ...

April 1983

Teaching value clarification: the example of gender and psychotherapy

Pages:410–415
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.410

Preview Abstract

The authors describe an effective model for teaching and evaluating a one-semester course on gender and psychotherapy for psychiatry residents. Clarification of values and attitudes about gender involves learning at both intellectual and affective levels. ...

April 1983

Clinical profiles of Hare Krishna devotees

Pages:416–420
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.416

Preview Abstract

The author tested the entire population (N = 42) of the Hare Krishna Temple in Melbourne on the MMPI, the General Health Questionnaire, and the Eysenck Personality Questionnaire psychometric indices and then randomly selected 6 subjects to take the ...

April 1983

Factitious mourning: painless patienthood

Pages:420–425
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.420

Preview Abstract

Of 20 patients who falsely reported the deaths of loved ones in order to assume the patient role, most presented with depression and suicidal ideation secondary to reported multiple dramatic deaths for which there was no available verification, and many ...

April 1983

Critique of the Danish-American studies of the biological and adoptive relatives of adoptees who became schizophrenic

Pages:426–434
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.426

Preview Abstract

The authors present various reasons why their analysis of the data provided by the Danish-American studies of the relatives of adoptees who became schizophrenic demonstrates that the data do not support the investigators' claims that their studies provide ...

April 1983

Definitions of mania: concordance and prediction of outcome

Pages:435–439
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.435

Preview Abstract

The authors compare several definitions of mania in three series of patients. All the definitions were successful in selecting patients with a favorable outcome, but there were large differences in the number of patients diagnosed, ranging from 17 to 55. ...

April 1983

Alcoholic men with no alcoholic first-degree relatives

Pages:439–443
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.439

Preview Abstract

The author ascertained the family history of alcoholism in first-degree relatives and extended family members from interviews with 161 men with primary alcoholism consecutively admitted to an inpatient treatment program, as well as from one or two ...

April 1983

Teaching residents the administrative aspects of psychiatric practice

Pages:444–448
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.444

Preview Abstract

As the trend toward the organization and bureaucratization of professional practice increases, psychiatrists will require a better understanding of the administrative aspects of their practice. However, a survey of the American Association of Directors of ...

April 1983

Phencyclidine in umbilical cord blood: some cautions

Page:449
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.449

April 1983

Phencyclidine in umbilical cord blood: preliminary data

Pages:450–452
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.450

Preview Abstract

The epidemic abuse of phencyclidine (PCP) has become a major psychiatric issue within the past decade. With the assistance of highly sensitive capillary gas chromatographic-nitrogen detector measurements, PCP's true pervasiveness is only now being ...

April 1983

Ventricular enlargement in child psychiatric patients: a controlled study with planimetric measurements

Pages:453–456
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.453

Preview Abstract

Data from adult schizophrenic patients suggest that patients with enlarged ventricles have a poorer premorbid history and may have an earlier onset of their illness than patients with ventricles of normal size. The authors examined a group of child ...

April 1983

L-5-hydroxytryptophan for LSD-induced psychosis

Pages:456–458
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.456

Preview Abstract

The serotonin precursor L-5-hydroxytryptophan reversed the symptoms of a 23-year-old man suffering from LSD-induced psychosis who participated in a randomized, double-blind crossover study of the drug and a placebo. This finding is compatible with the ...

April 1983

Suicide in a psychiatric emergency room population

Pages:459–462
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.459

Preview Abstract

Twenty-two suicides were identified in a series of 5,284 psychiatric emergency room patients, yielding a suicide rate of 111.1 per 100,000 "patient-years at risk"--more than seven times the age- and sex- adjusted rate for the general population. ...

April 1983

Bilateral versus unilateral electroconvulsive therapy: efficacy in melancholia

Pages:463–465
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.463

Preview Abstract

The authors compared the therapeutic efficacy of bilateral and unilateral electroconvulsive therapy (ECT) in 51 patients with endogenous depression who were randomly assigned to bilateral (N = 24) or unilateral (N = 27) ECT. Seizures were monitored by ...

April 1983

Dimensions of delusional experience

Pages:466–469
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.466

Preview Abstract

The authors describe a scale designed to measure five dimensions of delusional experience: conviction, extension, bizarreness, disorganization, and pressure. Reliability was adequate to excellent on four of the dimensions, but only fair on the dimension ...

April 1983

A comparison of patients who refuse and consent to neuroleptic treatment

Pages:470–472
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.470

Preview Abstract

A recently enacted regulation in California requires that voluntary mental patients give signed informed consent for treatment with antipsychotic drugs. To evaluate the law's effects on schizophrenic patients, the authors compared 15 patients who refused ...

April 1983

The role of social support in the functioning of patients with unipolar depression

Pages:473–476
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.473

Preview Abstract

The authors studied 44 outpatients with unipolar depression to determine the association among social support systems, life events, social adjustment, and depressive symptoms. Social support had a reasonably high correlation with outcome measures. ...

April 1983

Effects of diet on urinary excretion of MHPG in normal preadolescent boys

Pages:476–479
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.476

Preview Abstract

The authors examined the effect of diets with low and high monoamine content on the 24-hour urinary excretion of 3-methoxy-4- hydroxyphenylglycol (MHPG) and creatinine in eight healthy preadolescent boys. The subjects were admitted to a clinical research ...

April 1983

Predicting AWOL discharge at a community mental health center: a "split- half" validation

Pages:479–483
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.479

April 1983

Pseudohallucinations in cancer chemotherapy patients

Pages:483–485
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.483

April 1983

Low urinary MHPG preceding relapse in a unipolar depressed woman: a case report

Pages:486–488
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.486

April 1983

Withdrawal symptoms after long-term treatment with therapeutic doses of flurazepam: a case report

Pages:488–490
Published Online:1 April 2006

https://doi.org/10.1176/ajp.140.4.488

Preview Abstract

A male patient with chronic insomnia experienced withdrawal symptoms when flurazepam (30 mg h.s.), which he had taken nightly for 8 years, was abruptly discontinued. Problems associated with sedative-hypnotic medication and the long-term treatment of ...

April 1983